NURS 4270 Exam Practice Questions and Answers

NURS 4270 Exam Practice Questions and Answers Which action would the nurse perform first when preparing to apply sterile gloves? A. Perform hand hygiene. B. Place the package on a stable, flat surface. C. Assess the glove packaging for wetness or tears. D. Open the outer packaging. - Ans:-C. Assess the glove packaging for wetness or tears. When are sterile nonlatex gloves recommended for a sterile procedure? A. When there is a possible sensitivity issue B. When the staff member prefers them C. When latex gloves are not conveniently available D. When the patient prefers them - Ans:-A. When there is a possible sensitivity issue ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/24 What is the most important step the nurse can take to minimize the risk of tearing a sterile glove when applying it to the hands? A. Using powdered sterile gloves B. Keeping the fingernails trimmed and smoothly filed C. Selecting the proper glove size D. Drying the hands thoroughly before applying the gloves - Ans:-C. Selecting the proper glove size After applying sterile gloves, the patient states she is uncomfortable and would like to move to her left side. What is the best way for the nurse to keep the gloves sterile while waiting for nursing assistive personnel (NAP) to position the patient for a sterile dressing change? A. Interlocking the fingers and keeping the hands above waist level B. Keeping the arms at the sides, with elbows bent and gloved hands pointing up C. Leaving the room momentarily D. Stepping back from the bedside where NAP are working - Ans:-A. Interlocking the fingers and keeping the hands above waist level Which protocol does not vary among institutions? A. Acceptability of wearing artificial nails in patient care areas ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/24 B. Use of impervious transparent dressings to cover open lesions on nurse's hands during sterile procedures C. Use of sterile gloves for sterile procedures D. Sterile gloves are only available in "one size fits all" - Ans:-C. Use of sterile gloves for sterile procedures What is the best reason for a nurse to select a prepackaged sterile kit for a sterile procedure? A. Sterile prepackaged kits do not have expiration dates. B. The wrapper of the sterile kit can be used as a sterile field. C. Adding supplies to the sterile field takes less time than using a prepackaged kit. D. The prepackaged sterile kit will take up less space on the bedside table. - Ans:-B. The wrapper of the sterile kit can be used as a sterile field. Which action is the most important step the nurse can take to keep the field sterile when using an overbed table as the work surface for a sterile field? A. Position the table out of the patient's reach. B. Assess the table for stability. C. Position the height of the table to be above waist level. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/24 D. Assemble ahead of time any supplies and equipment not included in the kit. - Ans:-C. Position the height of the table to be above waist level. While opening a prepackaged sterile kit, a package of sterile 4 × 4-in gauze pads falls to the floor. What will the nurse ask ancillary staff to do to ensure the integrity of the sterile field A. "I will have to set up another sterile field; please take these items away." B. "Please go to the clean utility room and get me a package of sterile 4 × 4-in gauze pads." C. "Please watch that nothing contaminates this sterile field while I go and get a replacement item." D. "Please explain to the patient the importance of remaining still during this procedure so no other items will be contaminated." - Ans:-B. "Please go to the clean utility room and get me a package of sterile 4 × 4-in gauze pads." When preparing a sterile field using a prepackaged sterile kit, what will influence the nurse's placement of the kit on the overbed table? A. The tips of the flaps are easily accessible. B. The kit is positioned in the center of the table. C. The sterile contents of the kit are readily available. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/24 D. The outermost flap can be opened away from the nurse's body. - Ans:-D. The outermost flap can be opened away from the nurse's body. Before setting up a sterile field for a sterile procedure in a patient's room, why would the nurse ask any visitors to please leave the patient's bedside? A. Ensures that no unnecessary movement occurs that could contaminate the sterile field B. Limits distractions while setting up the sterile field C. Ensures a quiet environment during the procedure D. Provides privacy for the patient - Ans:-A. Ensures that