PN 2006 Final test exam 126Questions and
Answers Covers 2024/2025 with complete
solution(Graded A+)
a. Burns - CORRECT 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
a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply
gloves. - CORRECT ANSWERS 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 mask and
eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then apply
gloves.
b. Throw the packing away, and prepare a new one. - CORRECT ANSWERS
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.
,PN 2006 Final test exam 126Questions and
Answers Covers 2024/2025 with complete
solution(Graded A+)
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.
b. Check integrity of sterile packages prior to use. - CORRECT ANSWERS
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 integrity of sterile packages prior to 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.
a. Inserting an intravenous catheter - CORRECT ANSWERS Which one of
the following indicates that the nurse is using 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
c. The first small amount of sterile solution should be poured and discarded. -
CORRECT ANSWERS 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.
,PN 2006 Final test exam 126Questions and
Answers Covers 2024/2025 with complete
solution(Graded A+)
b. Confusion - CORRECT ANSWERS 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
c. Maintaining a scrub for two to six minutes - CORRECT ANSWERS 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
b. Wear an N-95 mask, gloves, face shield, and isolation gown. - CORRECT
ANSWERS 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.
, PN 2006 Final test exam 126Questions and
Answers Covers 2024/2025 with complete
solution(Graded A+)
c. Set the tray aside and proceed with the dressing change. - CORRECT ANSWERS
The nurse completes 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.
b. Put fluid holders near the edge of the field. - CORRECT ANSWERS 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.
a. Identify that items below waist height are contaminated. - CORRECT ANSWERS
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.
a. Adhere to the principles of surgical asepsis. - CORRECT ANSWERS The
nurse assists the health care provider during the insertion of a central venous
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