NUR 105 Midterm
- To assess the apical pulse, the nurse should place the stethoscope at which location on the
left side of the client's chest?
Answer
- Between the 5th and 6th ribs
- An older adult woman has been in the hospital for more than 1 week. While assessing her
intravenous catheter port, the nurse finds a staph infection, which has developed in the past day or so. This infection is an example of which type of infection?
Answer Health care-associated infection
- The nurse prepared the sterile tray for in dwelling catheter insertion while wearing sterile
gloves. The nurse then pulls the client's blankets away from the pelvis to begin catheter insertion. What action should the nurse take next?
Answer Change into a new pair of gloves
- Which includes practices used to render and keep objects and areas free from
microorganisms?
Answer Surgical asepsis
- Which are basic principles of surgical asepsis?
Answer consider the outer inch edge of a sterile field to be contaminated
never turn the back on a sterile field only a sterile object can touch another sterile object
- The nurse determines that the sterile field has been contaminated when which action occurs? 1 / 4
Answer the nurse turns his or her back to the field
- The nurse prepared for a sterile dressing change on one end of the table by opening a sterile
field and dropping the supplies onto it.The nurse needs to gather additional supplies remaining on the other side of the table. What action does the nurse take?
Answer Take a few steps around the table to pick up the additional supplies
- A group of nurses are reviewing information about asepsis. Which statement by the group
demonstrates the need for additional review?
Answer "Any items coming into contact with a sterile field must be sterile"
- The nurse performs hand hygiene using an alcohol-based hand rub after exiting a clients
room.The nurse does not touch another surface or client until what has occurred?
Answer The antiseptic has evaporated from the skin
- A nurse is preparing to perform hand hygiene using an alcohol-based hand rub. Place the
following steps in the correct order
Answer
- remove jewelry
- check the product later for the correct amount to use
- apply the product
- rub hands together, covering all surfaces of the hands and fingers
- ensure that the hands are dry
- A nurse is preparing to perform hand hygiene using an alcohol-based hand rub. When
applying the product, the nurse would place the product at which location?
Answer in the palm of one hand 2 / 4
- A nurse demonstrated the correct use of hand hygiene using an alcohol-based hand rub
for which situation?
Answer before entering a clients room after removing gloves after applying a clean, dry dressing
- The nurse is preparing to perform hand-washing. Place the following steps in the correct
order
Answer
- turn on the faucet and adjust the force and temperature of the water
- wet the hands and wrists
- apply soap
- wash the palms and backs of the hands for at least 20 seconds
- pat the hands dry with a paper towel
- turn the faucet off with a paper towel
- When washing the hands with soap and water what is an appropriate action for the nurse to
perform?
Answer keep the hands below the elbow
- The nurse uses soap and water for hand hygiene. Which action demonstrates proper hand-
washing?
Answer using a rubbing, circular motion
- The nurse is performing hand washing using soap and water after providing client care.
The nurse has performed hand hygiene using soap and water. What action would the nurse take next?
Answer Dry the hands with a paper towel
- A group of students are demonstrating the skill for hand washing. What would indicate a 3 / 4
need for additional teaching?
Answer The students wash their hands for 15 seconds prior to drying them
- The nurse is required to wear a gown, gloves, goggles, and mask as PPE when caring for
an assigned client.What should the nurse put on first?
Answer Gown
- The charge nurse observes a new nurse not wearing PPE entering a client's room. The client is
on a transmission-based precautions. What is the charge nurse's best response?
Answer Reinforce teaching that transmission-based precautions must be observed
- The nurse is removing a gown after providing care to a client. Which action would the
nurse take first?
Answer Unfasten the ties at the neck and back
- The charge nurse notices that when caring for a client, some nurses are wearing PPE and
other nurses are not.Which action would be most appropri- ate for the nurse to take?
Answer consult the agency's infection control manual
- Place in the correct order the steps for removing a gown
- unfasten the ties
Answer
- touching only the inside of the gown, pull away from the torso
- keeping the hands on the inner surface of the gown, pull gown from arms
- turn gown inside out
- fold or roll the gown into a bundle
- discard the gown
- / 4