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NUR 336 NEWEST 2024 -2025 EXAM 1/ COMPLETE 150
ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
How can the nurse promote infection control while providing perineal care for a female patient who has a catheter?
- By avoiding the application of tension on the catheter.
- By patting, not rubbing, the skin dry after thoroughly rinsing it.
- By cleansing the patient's labia from the pubic area toward the rectum.
- By using warm water to cleanse the patient's entire perineal area. - Correct Answer -
C (Cleansing the labia from the pubic area toward the rectum minimizes the risk of introducing microorganisms from the rectum to the urethra and vagina. Although avoiding tension on the catheter is encouraged in order to prevent its accidental dislodgment, this precaution does not pertain to infection control. Patting the skin dry, rather than rubbing it, helps minimize skin damage, but this action does not pertain to infection control. Cleansing with soap and water reduces the number of microorganisms in the perineal area. Using warm water alone, however, has little effect.)
The nurse is delegating to nursing assistive personnel (NAP) the perineal care of a female patient who is totally dependent and confined to bed. Which statement by the NAP requires the nurse's follow-up?
- "I'll ask for assistance if I need help positioning her."
- "I'll see if she's up to the care right now."
- "I'll let you know if I notice any signs of redness or discharge."
- "I'll be sure to use hot, soapy water, since she has been incontinent." - Correct
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Answer - D
pg. 2 As the nurse is preparing to provide perineal care to a female patient with limited mobility, the patient says, "I can do that myself." Which action would be the priority?
- Provide all the necessary supplies and linen for this task.
- Assess the patient's ability to perform proper perineal care.
- Ensure that the patient has privacy while performing perineal care.
- Document any complaints of irritation or pain in the perineal area. - Correct Answer -
B (Determining the appropriateness of self-care by assessing the patient's ability to provide her own perineal care is the priority action. Although it is a nursing responsibility to provide all the items necessary for the patient to perform this task, ensuring the patient's privacy, and documenting patient complaints, doing so would not take priority over assessing the patient's ability to perform perineal care.)
The nurse is delegating a female patient's perineal care to nursing assistive personnel (NAP). Which instruction would the nurse give to ensure the NAP's safety while performing this care?Back to Top
- Wear sterile gloves.
- Wear clean gloves.
- Wear an isolation gown.
- Use hot water. - Correct Answer – B
A nurse assists a patient with a Foley catheter to ambulate down the hall. The nurse holds the catheter bag above the level of the patient's bladder. What link in the chain of infection is the nurse breaking by doing so?
- Portal of exit.
- Portal of entry.
- Reservoir.
- Host susceptibility. - Correct Answer - B (By not allowing the urine from the bedside
drainage bag to re-enter the bladder, the nurse is breaking the chain of infection at the portal of entry. Emptying the bedside drainage bag may be an example of controlling the 2 / 4
pg. 3 reservoir. Host susceptibility has to do with issues such as age, nutritional status, medical treatments, immunizations, etc.)
The nurse manager is reviewing the use of standard precautions with the staff. Which of the following should be included in the review? (Select all that apply.)
- Standard precautions are used to protect you from potential contact with blood and
- Standard precautions should be observed in every patient encounter.
- Standard precautions refer only to the use of gloves; not to the use of masks, eye
- To follow standard precautions, you must wear sterile gloves.
- Standard precautions are utilized once the type of infection is identified. - Correct
body fluids.
protection, or gowns, as these refer to other types of precautions.
Answer - A B (Standard precautions are used to protect you from potential contact with blood and body fluids and should be observed in every patient encounter. Besides gloving, standard precautions include the use of masks, eye protection, and gowns when there is a risk of being splattered with infectious materials. Surgical asepsis (sterile technique) requires the use of sterile gloves. Clean gloves may be worn when following standard precautions. Any patient may be a source of infection and should be treated as such rather than waiting until a pathogen is identified.)
A small group of nursing students is giving a teaching presentation on the principles of surgical asepsis. Which of the following standards are appropriate to include in the presentation? (Select all that apply.)
- A sterile barrier that has been permeated by moisture must be considered
- A sterile object or field out of the range of vision or an object held below a person's
- A sterile field or object cannot become contaminated by air.
- If there is any doubt about an item's sterility, the item is considered to be unsterile.
- All items used within a sterile field must be sterile. - Correct Answer - A B D E (A
contaminated.
waist is considered contaminated.
sterile surface that comes in contact with moisture must be considered contaminated. A sterile object or field out of the range of vision or an object held below a person's waist 3 / 4
pg. 4 is considered contaminated. A sterile object or field becomes contaminated by prolonged exposure to air; stay organized, and complete any procedure as soon as possible. If there is any doubt about an item's sterility, the item is considered to be unsterile. All items used within a sterile field must be sterile.)
The source for pathogen growth describes which element on the chain of infection model?
- Pathogen
- Portal of exit
- Reservoir
- Susceptible host - Correct Answer - C
Which of the following is an accurate example of a portal of exit from the reservoir relating to the chain of infection model?
- Fungi
- Skin and mucous membranes
- Hands of healthcare workers
- Inanimate objects - Correct Answer - B
Which of the following is an accurate example of a mode of transmission when relating to the chain of infection model?
- Protozoa
- Animals
- Respiratory tract
- Hands of healthcare workers - Correct Answer - D
Which of the following would be considered a portal of entry to the host in the chain of infection model?
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