Potter & Perry CH 28: Infection Prevention and Control
UPDATED ACTUAL Questions and CORRECT Answers
The nurse is preparing to perform a sterile procedure B. Follow sterile technique during the procedure.
for a patient. Which action will best minimize the risk of Sterile technique is intended to prevent the introduction of pathogens into the
infection during the procedure? body.
A. Administer a prophylactic antibiotic before the
procedure, as prescribed.
B. Follow sterile technique during the procedure.
C. Ensure proper hand hygiene before the procedure.
D. Educate the patient in order to minimize movement
and talking during the procedure.
While preparing a sterile field, the nurse determines D. Ask the assistant who has been helping with the procedure to bring the
that additional supplies are needed. What will the nurse necessary supplies.
do to ensure that the sterile field is maintained?
A. Cover the field with a sterile drape before leaving
the room.
B. Collect the necessary supplies after preparing a new
sterile field.
C. Retrieve the supplies, but instruct the patient not to
touch anything on the field.
D. Ask the assistant who has been helping with the
procedure to bring the necessary supplies.
What direction would the nurse provide to nursing D. "Remember, reaching over the sterile field constitutes a break in sterile
assistive personnel (NAP) while establishing and technique."
maintaining a sterile field? n assisting the nurse during the procedure, the NAP might reach over the field
A. "This work surface is too low. Choose a surface that's if not reminded that doing so would constitute a break in sterile technique. The
above your waist." nurse cannot delegate the establishment of a sterile field to NAP.
B. "Begin to establish the sterile field here on the
overbed table."
C. "Be careful to touch only the outer 1-inch edge of the
sterile drape."
D. "Remember, reaching over the sterile field
constitutes a break in sterile technique."
While preparing a sterile field, the nurse notes that a B. Collect the supplies necessary and establish a new sterile field.
portion of the sterile drape has come into contact with Any breach in sterile technique requires the nurse to establish a new sterile
the patient's gown. Which action is most appropriate in field. The sterile drape must not touch anything as it is opened over the work
this situation? surface. If sterile technique is broken, the sterile field must be reestablished.
A. Place the sterile supplies only on the portion of the
drape that did not touch the gown.
B. Collect the supplies necessary and establish a new
sterile field.
C. Determine if the contact occurred within the outer 1-
inch perimeter of the drape.
D. Establish the sterile field on the opposite side of the
drape.
, Why might the nurse offer the patient a bedpan before A. Anticipating what the patient might need during a lengthy sterile procedure
establishing a sterile field? will minimize patient movement.
A. Anticipating what the patient might need during a
lengthy sterile procedure will minimize patient
movement.
B. A patient's becoming incontinent constitutes a
breach in sterile technique.
C. Refocusing the patient's attention on a task
decreases anxiety.
D. Assessing the patient's ability to follow instructions
will help the nurse maintain the sterile field.
The nurse is placing supplies on a sterile field that is D. Placing the needed supplies near the back of the sterile field
being prepared for a dressing change. Which action is Placing the needed supplies near the back could cause the nurse to reach
likely to contaminate the field? across the sterile field, which would be a breach in sterile technique.
A. Placing a role of sterile tape on the field
B. Holding a prepackaged sterile item in the non-
dominant hand while opening it
C. Adding supplies that will expire in 2 days
D. Placing the needed supplies near the back of the
sterile field
A patient requires all of the following interventions. A. Change the dressing on the patient's newly established suprapubic catheter.
Which one would the nurse perform last?
A. Change the dressing on the patient's newly
established suprapubic catheter.
B. Administer the patient's prescribed medication.
C. Offer the patient a bedpan.
D. Position the patient for maximum comfort and ease
of breathing.
Which direction to nursing assistive personnel (NAP) B. "I'd like you to make sure that the patient doesn't reach toward the sterile
would help to maintain a sterile field while conducting field while I'm changing the dressing."
a sterile procedure?
A. "Please see to it that nothing contaminates this sterile
field while I get some additional supplies."
B. "I'd like you to make sure that the patient doesn't
reach toward the sterile field while I'm changing the
dressing."
C. "Hand me the item closest to the edge of the sterile
field."
D. "Place a sterile drape over these supplies for a
moment while I answer my other patient's call light."
UPDATED ACTUAL Questions and CORRECT Answers
The nurse is preparing to perform a sterile procedure B. Follow sterile technique during the procedure.
for a patient. Which action will best minimize the risk of Sterile technique is intended to prevent the introduction of pathogens into the
infection during the procedure? body.
A. Administer a prophylactic antibiotic before the
procedure, as prescribed.
B. Follow sterile technique during the procedure.
C. Ensure proper hand hygiene before the procedure.
D. Educate the patient in order to minimize movement
and talking during the procedure.
While preparing a sterile field, the nurse determines D. Ask the assistant who has been helping with the procedure to bring the
that additional supplies are needed. What will the nurse necessary supplies.
do to ensure that the sterile field is maintained?
A. Cover the field with a sterile drape before leaving
the room.
B. Collect the necessary supplies after preparing a new
sterile field.
C. Retrieve the supplies, but instruct the patient not to
touch anything on the field.
D. Ask the assistant who has been helping with the
procedure to bring the necessary supplies.
What direction would the nurse provide to nursing D. "Remember, reaching over the sterile field constitutes a break in sterile
assistive personnel (NAP) while establishing and technique."
maintaining a sterile field? n assisting the nurse during the procedure, the NAP might reach over the field
A. "This work surface is too low. Choose a surface that's if not reminded that doing so would constitute a break in sterile technique. The
above your waist." nurse cannot delegate the establishment of a sterile field to NAP.
B. "Begin to establish the sterile field here on the
overbed table."
C. "Be careful to touch only the outer 1-inch edge of the
sterile drape."
D. "Remember, reaching over the sterile field
constitutes a break in sterile technique."
While preparing a sterile field, the nurse notes that a B. Collect the supplies necessary and establish a new sterile field.
portion of the sterile drape has come into contact with Any breach in sterile technique requires the nurse to establish a new sterile
the patient's gown. Which action is most appropriate in field. The sterile drape must not touch anything as it is opened over the work
this situation? surface. If sterile technique is broken, the sterile field must be reestablished.
A. Place the sterile supplies only on the portion of the
drape that did not touch the gown.
B. Collect the supplies necessary and establish a new
sterile field.
C. Determine if the contact occurred within the outer 1-
inch perimeter of the drape.
D. Establish the sterile field on the opposite side of the
drape.
, Why might the nurse offer the patient a bedpan before A. Anticipating what the patient might need during a lengthy sterile procedure
establishing a sterile field? will minimize patient movement.
A. Anticipating what the patient might need during a
lengthy sterile procedure will minimize patient
movement.
B. A patient's becoming incontinent constitutes a
breach in sterile technique.
C. Refocusing the patient's attention on a task
decreases anxiety.
D. Assessing the patient's ability to follow instructions
will help the nurse maintain the sterile field.
The nurse is placing supplies on a sterile field that is D. Placing the needed supplies near the back of the sterile field
being prepared for a dressing change. Which action is Placing the needed supplies near the back could cause the nurse to reach
likely to contaminate the field? across the sterile field, which would be a breach in sterile technique.
A. Placing a role of sterile tape on the field
B. Holding a prepackaged sterile item in the non-
dominant hand while opening it
C. Adding supplies that will expire in 2 days
D. Placing the needed supplies near the back of the
sterile field
A patient requires all of the following interventions. A. Change the dressing on the patient's newly established suprapubic catheter.
Which one would the nurse perform last?
A. Change the dressing on the patient's newly
established suprapubic catheter.
B. Administer the patient's prescribed medication.
C. Offer the patient a bedpan.
D. Position the patient for maximum comfort and ease
of breathing.
Which direction to nursing assistive personnel (NAP) B. "I'd like you to make sure that the patient doesn't reach toward the sterile
would help to maintain a sterile field while conducting field while I'm changing the dressing."
a sterile procedure?
A. "Please see to it that nothing contaminates this sterile
field while I get some additional supplies."
B. "I'd like you to make sure that the patient doesn't
reach toward the sterile field while I'm changing the
dressing."
C. "Hand me the item closest to the edge of the sterile
field."
D. "Place a sterile drape over these supplies for a
moment while I answer my other patient's call light."
