Exam 1 Module 2&3 Practice Questions And Already Passed Answers.
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Course
NURS 4614
Institution
NURS 4614
The nurse is preparing a sterile field. The nurse opens the sterile commercial kit by pulling the outermost flap toward his body, followed by opening the remaining flaps. The nurse touches only the outer edge of the sterile field with his hands. The nurse adds sterile items to the sterile field by ...
Exam 1 Module 2&3 Practice Questions
And Already Passed Answers.
The nurse is preparing a sterile field. The nurse opens the sterile commercial kit by pulling the outermost
flap toward his body, followed by opening the remaining flaps. The nurse touches only the outer edge of
the sterile field with his hands. The nurse adds sterile items to the sterile field by placing them on the
field at an angle and never allowing the wrapper to touch the field. The nurse pours normal saline form a
previously opened bottle in the patient's room into a sterile receptacle without splashing. Which
action(s) in preparing a sterile field did the nurse perform incorrectly? (Select all that apply.)
A - The nurse correctly prepared the sterile field.
B-Opening the outermost flap.
C-Touching the outer edge of the sterile field.
D- Adding sterile items to the field.
E - Pouring a sterile solution - Answer Opening the outermost flap
Pouring a sterile solution
The nurse is preparing a sterile field. Which of the following would be considered contamination of the
field? (Select all that apply.)
A- Some of the sterile normal saline spills onto the sterile barrier
B- Nonsterile items are added to the sterile field
C- The nurse prepares the sterile field and leaves the room to get more sterile supplies.
D-The nurse prepares the sterile field immediately before the procedure.
E- When a sterile item falls off the sterile field, the nurse opens a new sterile item - Answer Some of
the sterile normal saline spills onto the sterile barrier
Nonsterile items are added to the sterile field
The nurse prepares the sterile field and leaves the room to get more sterile supplies.
The nurse is reviewing with the surgical technician how to prepare a sterile field. Which of the following
is incorrect and should not be included in the review?
A-Keep your intended work surface above waist level.
B-Place the drape so the top half of the drape is over the top half of the work surface.
, C-You may grasp the outer 1-inch border of the drape without wearing sterile gloves.
D-Place sterile items onto the sterile field at an angle. - Answer B
The nurse is preparing to set up a sterile field for a patient who is going to have a sterile dressing change.
Which of the following assessment measures would be unnecessary at this time?
A-The nurse reviews documentation to see what supplies will be needed.
B-The nurse asks the patient to rate his pain on a pain scale.
C-The nurse asks the patient if he needs to use the bathroom.
D-The nurse asks the patient if he has ambulated in the hall today. - Answer D
One evaluation measure of creating and maintaining a sterile field involves monitoring the patient for
developing signs and symptoms of localized or systemic infection. Which of the following is cause for
concern?
A- Temperature of 102.5° F (39.2° C).
B-Incision area light pink in color.
C-White blood cell count at 6500 per mm3
D-Absence of purulent drainage. - Answer A
A nurse is preparing a medication for subcutaneous administration. As the nurse recaps the needle using
the scoop method, the nurse accidentally touches the table with the uncovered needle. What is the
nurse's best action?
A-Discard the needle, syringe, and medication and start over.
B-Discard the needle and replace with a new one before administration.
C-Wipe the needle with an alcohol swab and recap for use.
D- Transfer the medication to a new syringe. - Answer B
The nurse is adding a dry sterile gauze dressing to the sterile field. The dressing bounces on the surface
and lands on the outer 1-inch border of the sterile field. What action is appropriate at this time?
A-The nurse discards the entire sterile field, all items on it, and starts over.
B-The nurse opens another sterile gauze dressing and adds it to the sterile field, but does not use the
first one.
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