EXAM QUESTIONS AND 100% CORRECT ANSWERS EXCELSIOR
COLLEGE (BRAND NEW!!) / ALREADY GRADED A+
A nurse has prepared a sterile field for assisting a provider with a chest tube
insertion. Which of the following events should the nurse recognize as
contaminating the sterile field? (Select all that apply)
-The provider drops a sterile instrument onto the near side of the sterile field
-The nurse moistens a cotton ball with sterile normal saline and places it on the
sterile field
-The procedure is delayed 1 hr because the provider receives an emergency call
-The nurse turns to speak to someone who enters through the door behind the
nurse
-The client's hand brushes against the outer edge of the sterile field - ANSWER: -The
nurse moistens a cotton ball with sterile normal saline and places it on the sterile
field
-The procedure is delayed 1 hr because the provider receives an emergency call
-The nurse turns to speak to someone who enters through the door behind the
nurse
After assisting a newly admitted client with removing their shoes and outerwear, the
nurse notices what appears to be soil or grime on their hands. Which of the
following actions should the nurse take?
-Cleanse their hands with an alcohol-based gel.
-Wash their hands with soap and water.
-Brush off the soil against a cloth surface.
-Use a wet paper towel to remove the soil. - ANSWER: Wash their hands with soap
and water
To decontaminate their hands with an alcohol-based gel, the nurse should rub their
hands together until all of the gel has evaporated and their hands are dry. Which of
the following is the correct rationale for why hands should be rubbed together until
dry?
-Drying provides the full antiseptic effect.
-Residual alcohol can easily stain clothing.
-Excess gel could transfer to the client.
-Slippery gel can make the nurse drop supplies. - ANSWER: Drying provides the full
antiseptic effect
After completing a procedure that required donning personal protective equipment
(PPE) consisting of a gown, an N95 respirator, a face shield, and gloves, which of the
following should the nurse remove first when removing PPE separately?
,-The gloves
-The gown
-The face shield
-the N95 respirator - ANSWER: The gloves
A nurse is about to irrigate a client's open wound. Besides gloves, which of the
following personal protective equipment should the nurse wear?
-A sterile gown
-Goggles
-A face shield
-An N95 respirator - ANSWER: A face shield
What should the nurse do to maintain standard precautions?
-Rinse gloves that become visibly soiled during use.
-Use an antimicrobial soap for routine handwashing.
-Disinfect hands immediately after removing gloves.
-Keep gloves on when touching environmental surfaces. - ANSWER: Disinfect hands
immediately after removing gloves
A nurse is washing their hands with soap and water prior to repositioning a client in
bed. During the handwashing procedure, it is important to take which of the
following actions?
-Make sure that the water is hot.
-Wash for at least 20 seconds.
-Use a liquid soap preparation.
-Remove rings and watches first. - ANSWER: Wash for at least 20 seconds
Which of the following is an advantage of using alcohol-based gel?
-It takes less time to use than washing with soap and water.
-It removes gross contamination better than soap and water does.
-Its protective nature reduces the need for frequent handwashing.
-It provides adequate protection before surgical applications. - ANSWER: It takes less
time to use than washing with soap and water
A nurse is caring for a client who has Mycoplasma pneumoniae. The client has been
placed on droplet precautions. Which of the following actions should the nurse take
when caring for the client?
-Wear a respirator.
-Protect their eyes.
-Put on clean gloves.
-Wear shoe covers. - ANSWER: Protect their eyes
, A nurse is caring for a client who has a health care-associated infection (HAI). Which
of the following describes an exogenous HAI?
-A Salmonella infection that occurs after eating contaminated food from the
cafeteria
-An infection that occurs during a therapeutic procedure
-A yeast infection that occurs while receiving broad spectrum antibiotics
-A urinary tract infection that occurs after a sterile catheter insertion - ANSWER: A
Salmonella infection that occurs after eating contaminated food from the cafeteria
Which of the following products can affect the permeability of latex gloves?
-Antimicrobial soap and water
-Alcohol-based antiseptic gel
-Petroleum-based hand lotion
-Water-based hand lotion - ANSWER: Petroleum-based hand lotion
Contact precautions should be implemented for an adult client who has been
hospitalized and has which of the following?
-Hepatitis B
-Measles
-Meningitis
-Infectious diarrhea - ANSWER: Infectious diarrhea
A nurse is preparing to provide oral care for a client who is NPO. The client tells the
nurse, "I don't need oral care because I haven't eaten anything." Which of the
following responses should the nurse make?
-"Since you are not eating, we can wait and do it before bedtime"
-"Oral care is still important even though you are not eating."
-"I'll give you a sip of water to swish around in your mouth, and then you can spit it
out."
-"We will wait until your family gets here to help." - ANSWER: "Oral care is still
important even though you are not eating."
A nurse is observing an assistive personnel (AP) make a client's bed while the client is
out of the room. Which of the following actions by the AP indicates an
understanding of the procedure?
-The AP records the task when it is completed
-The AP wears sterile gloves while making the bed
-The AP changes the clients' pillowcase
-The AP reuses the clients' clean blanket and spread - ANSWER: The AP reuses the
client's clean blanket and spread