VNSG 1423 EXAM 1 QUESTIONS AND
ANSWERS ALL CORRECT
A nurse is informing a nursing student about the center of Disease Control and
prevention guidelines for hand asepsis. which guideline is in compliance with the CDC
guidelines for hand washing? - Answer- when hands are visibly soiled Ch 14, pg 233
A nurse is explaining the different procedures used to break the chain of infection to a
nursing student which of the following links in the chain of infection is addressed when a
nurse attempts to contain a client's diarrhea? - Answer- exit route Ch 14, pg 230
A man is sitting by women who is coughing and sneezing if she has an infection what is
the most likely means of transmission from the woman to the man? - Answer- airborne
Ch 14, pg 230
A nurse is cleaning the bedside table of a client who has a respiratory infection the
nurse picks up the clients used tissue and then touches his/her face near the mouth an
inhales the microorganisms and the nurse becomes ill. how was this organism that
cause this disease transmitted? - Answer- direct contact Ch 14, pg 236
Which is an example of the body's defense against infection? - Answer- hydrochloric
acid in the digestive tract Ch 14, 230-231
The latest CDC guidelines designated standard precautions for all substances except: -
Answer- sweat Ch 14, pg 232
The nurse is taking care of a client who was burned over 90% of the body. The nurse
performed hand hygiene before performing the daily task the nurse puts on: - Answer-
sterile gloves Ch 22, pg 429
A nurse is caring for an 82-year-old patient who was admitted to the health care facility
for tachypnea and tachycardia. Which rationale below supports the clients condition? -
Answer- The heart and lungs work together to provide circulation of nutrients and
oxygen. FA Davis Ch 17, pg. 323
A nurse is instructing a group of nursing students in measuring a client's respiratory
rate. Which guideline should the nurse include? - Answer- Count each ventilation as
one breathe Ch 17 pg.322-323
, A nurse is caring for a client that has a fractured femur, the BP reading 140/49 mm Hg
in the left arm. Which action should the nurse take first? - Answer- Ask the client if
he/she is in pain Ch 17 pg 329
A nursing student is assisting an 88 yr old client from a supine position to a sitting
position to go to the bathroom. The client faints. The nursing student understands that
the cause of fainting is due to - Answer- Reduced vasoconstriction of the arteries. Ch 17
pg 329
When measuring the blood pressure after placing the cuff correctly on the arm, the
nurse would assess, which of the following? - Answer- palpate the artery. Ch 17, pg 328
A nurse is caring for a client that has tuberculosis. According to CDC guidelines for
transmission based precautions. Which personal protective measures should the nurse
implement? Select all that apply (2/4) - Answer- Enter airborne infection isolation room
Put on a fit-tested N95 respirator
Enter a private room with gown, N95
Put on N95
Ch 14, pg. 235-236
A nurse is caring for a client that has been placed in contact-based precaution due to
infectious diarrhea. The nurse should follow the CDC's guidelines by performing which
intervention? - Answer- wash hands, put on gloves and gown before entering the room.
Ch 14, pg 236
A nurse has a sterile package and has placed it on a clean surface in preparation of an
invasive procedure. What is the rationale for unfolding the first flap farthest from the
body? - Answer- The nurse risks reaching across the sterile package. Ch 22, pg 428
A nurse is wearing sterile gloves to perform a sterile procedure. Which of the following
items listed below are considered sterile and can be touched by the nurse? Select all
that apply (3/5) - Answer- A bottle containing a sterile solution
The edge of sterile drape
One sterile gloved hand touching the other sterile gloved hand
Irrigation catheter on the sterile field
The inner wrapping of an item on the on the sterile field
Ch 22, pg 427
A nurse is preparing a sterile field for assisting a provider with a sterile procedure. The
nurse recognizes that which of the following has contaminated the field? - Answer- The
nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
Ch22, pg 427-428
A nursing student identifies that parts of the syringe and needle are considered sterile.
Which part of the syringe and or needle was correctly identified by the nursing student
as being sterile? - Answer- hub on the needle. Ch 22, pg 429-430
ANSWERS ALL CORRECT
A nurse is informing a nursing student about the center of Disease Control and
prevention guidelines for hand asepsis. which guideline is in compliance with the CDC
guidelines for hand washing? - Answer- when hands are visibly soiled Ch 14, pg 233
A nurse is explaining the different procedures used to break the chain of infection to a
nursing student which of the following links in the chain of infection is addressed when a
nurse attempts to contain a client's diarrhea? - Answer- exit route Ch 14, pg 230
A man is sitting by women who is coughing and sneezing if she has an infection what is
the most likely means of transmission from the woman to the man? - Answer- airborne
Ch 14, pg 230
A nurse is cleaning the bedside table of a client who has a respiratory infection the
nurse picks up the clients used tissue and then touches his/her face near the mouth an
inhales the microorganisms and the nurse becomes ill. how was this organism that
cause this disease transmitted? - Answer- direct contact Ch 14, pg 236
Which is an example of the body's defense against infection? - Answer- hydrochloric
acid in the digestive tract Ch 14, 230-231
The latest CDC guidelines designated standard precautions for all substances except: -
Answer- sweat Ch 14, pg 232
The nurse is taking care of a client who was burned over 90% of the body. The nurse
performed hand hygiene before performing the daily task the nurse puts on: - Answer-
sterile gloves Ch 22, pg 429
A nurse is caring for an 82-year-old patient who was admitted to the health care facility
for tachypnea and tachycardia. Which rationale below supports the clients condition? -
Answer- The heart and lungs work together to provide circulation of nutrients and
oxygen. FA Davis Ch 17, pg. 323
A nurse is instructing a group of nursing students in measuring a client's respiratory
rate. Which guideline should the nurse include? - Answer- Count each ventilation as
one breathe Ch 17 pg.322-323
, A nurse is caring for a client that has a fractured femur, the BP reading 140/49 mm Hg
in the left arm. Which action should the nurse take first? - Answer- Ask the client if
he/she is in pain Ch 17 pg 329
A nursing student is assisting an 88 yr old client from a supine position to a sitting
position to go to the bathroom. The client faints. The nursing student understands that
the cause of fainting is due to - Answer- Reduced vasoconstriction of the arteries. Ch 17
pg 329
When measuring the blood pressure after placing the cuff correctly on the arm, the
nurse would assess, which of the following? - Answer- palpate the artery. Ch 17, pg 328
A nurse is caring for a client that has tuberculosis. According to CDC guidelines for
transmission based precautions. Which personal protective measures should the nurse
implement? Select all that apply (2/4) - Answer- Enter airborne infection isolation room
Put on a fit-tested N95 respirator
Enter a private room with gown, N95
Put on N95
Ch 14, pg. 235-236
A nurse is caring for a client that has been placed in contact-based precaution due to
infectious diarrhea. The nurse should follow the CDC's guidelines by performing which
intervention? - Answer- wash hands, put on gloves and gown before entering the room.
Ch 14, pg 236
A nurse has a sterile package and has placed it on a clean surface in preparation of an
invasive procedure. What is the rationale for unfolding the first flap farthest from the
body? - Answer- The nurse risks reaching across the sterile package. Ch 22, pg 428
A nurse is wearing sterile gloves to perform a sterile procedure. Which of the following
items listed below are considered sterile and can be touched by the nurse? Select all
that apply (3/5) - Answer- A bottle containing a sterile solution
The edge of sterile drape
One sterile gloved hand touching the other sterile gloved hand
Irrigation catheter on the sterile field
The inner wrapping of an item on the on the sterile field
Ch 22, pg 427
A nurse is preparing a sterile field for assisting a provider with a sterile procedure. The
nurse recognizes that which of the following has contaminated the field? - Answer- The
nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
Ch22, pg 427-428
A nursing student identifies that parts of the syringe and needle are considered sterile.
Which part of the syringe and or needle was correctly identified by the nursing student
as being sterile? - Answer- hub on the needle. Ch 22, pg 429-430
