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PN 2006 FINAL EXAM WITH ALL QUESTIONS AND VERIFIED ANSWERS
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PN 2006 FINAL EXAM WITH ALL QUESTIONSAND VERIFIED ANSWERS
The nurse works in a small rural hospital with a wide variety of clients. Of the
clients admitted this afternoon, the nurse recognizes that the individual with which
of the following conditions is most susceptible to infection?
a. Burns
b. Diabetes
c. Pulmonary emphysema
d. Peripheral vascular disease - ANSWER a. Burns
The nursing assistant is learning how to use protective equipment when caring for a
client in isolation. The nursing assistant is instructed in the correct sequence for
putting on the protective equipment. Which of the following describes the correct
sequence?
a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply
gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then apply
gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on a mask and
eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then apply
gloves. - ANSWER a. Wash her hands, apply the mask and eyewear, put on the
gown, and then apply gloves.
The client has a large, deep abdominal incision that requires a dressing. The
incision is packed with sterile 1.75-cm packing and covered with a dry, 10 × 10-cm
gauze. When changing the dressing, the nurse accidentally drops the packing onto
the client's abdomen. Which of the following actions should the nurse take?
,a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision with
sterile gloves. - ANSWER b. Throw the packing away, and prepare a new one.
The client requires a sterile dressing change. Which of the following is an
appropriate intervention for the nurse to implement in maintaining sterile asepsis?
a. Put sterile gloves on before opening sterile packages.
b. Check the integrity of sterile packages before use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. - ANSWER b. Check the
integrity of sterile packages before use.
Which one of the following indicates that the nurse is using a surgical aseptic
technique?
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing - ANSWER a. Inserting an
intravenous catheter
The nurse recognizes the appropriate procedures for sterile asepsis. Of the
following, which action is consistent with sterile asepsis?
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to the
nurse. - ANSWER c. The first small amount of sterile solution should be poured
,and discarded.
The nurse suspects that an older adult client may have pneumonia. Older adult
clients may react differently to infectious processes, so the nurse is alert to atypical
signs and symptoms, such as which one of the following?
a. Hypotension
b. Confusion
c. Erythema
d. Chills - ANSWER b. Confusion
The nurse is preparing to assist with a sterile procedure in the surgical suite. Which
of the following is an appropriate technique that the nurse includes in the surgical
scrub?
a. Keeping the hands below the elbows throughout the scrub
b. Using a brush on the palms and dorsal surface of the hands
c. Maintaining a scrub for two to six minutes
d. Washing well around all artificial nails - ANSWER c. Maintaining a scrub for
two to six minutes
The patient is in isolation in a negative-pressure room for active tuberculosis. He
coughs and spews large amounts of blood-tinged sputum but is too weak to cover
his mouth and nose with a tissue. Which is the most important intervention for the
nurse to implement for self-protection while providing nursing care?
a. Cover the patient's mouth and nose snugly with a surgical mask.
b. Wear an N-95 mask, gloves, face shield, and isolation gown.
c. Place tissues and a contaminated waste container within reach.
d. Use a properly fitted surgical mask and gloves to help with tissues. - ANSWER
b. Wear an N-95 mask, gloves, face shield, and isolation gown.
The nurse completes the preparation of the sterile field to change a patient's
dressing when the patient's dinner tray arrives. Which action should the nurse take?
, a. Use the sterile field on another patient in another room.
b. Change the dressing using clean technique to save time.
c. Set the tray aside and proceed with the dressing change.
d. Cover the setup with a sterile drape and let the patient eat. - ANSWER c. Set the
tray aside and proceed with the dressing change.
The nurse is preparing a sterile field with several items on it. Which action should
the nurse implement to maintain a sterile field?
a. Flip sterile objects onto the sterile field.
b. Put fluid holders near the edge of the field.
c. Wear sterile gloves to open sterile packs.
d. Open the inner flaps of the sterile packages first. - ANSWER b. Put fluid holders
near the edge of the field.
The nurse is getting ready to provide a sterile dressing change. Which nursing
action is consistent with principles used to prepare a sterile field?
a. Identify that items below waist height are contaminated.
b. Use opened packages of dressing supplies within the same shift.
c. Identify that sterile drapes have a 5.08 cm 2-inch contaminated border.
d. Replace bottle caps if the inside of the cap is not touched. - ANSWER a. Identify
that items below waist height are contaminated.
The nurse assists the health care provider during the insertion of a central venous
catheter. Which is the most effective intervention for the nurse to implement to
prevent patient infection?
a. Adhere to the principles of surgical asepsis.
b. Close the door of the sterile procedure room.
c. Sterilize working surfaces for the procedure.
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