PN 4006 FINAL EXAM WITH
QUESTIONS AND ANSWERS
Question: Which one of the following indicates that the nurse
is using surgical aseptic technique?
CORRECT ANSWER : a. Inserting an intravenous catheter
Question: The client requires a sterile dressing change. Which
of the following is an appropriate intervention for the nurse to implement in maintaining sterile asepsis?
CORRECT ANSWER : b. Check integrity of sterile
packages prior to use.
Question: 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?
CORRECT ANSWER : b. Throw the packing away, and
prepare a new one.
Question: Droplet precautions will be instituted for the client
admitted to the infectious disease unit with which of the following conditions?
CORRECT ANSWER : a. Influenza
Question: A client with active tuberculosis is admitted to the
medical center. The nurse recognizes that which of the following types of precautions will be required upon admission of this client?
CORRECT ANSWER : a. Airborne precautions
Question: The parent of a preschool child asks the nurse how
chickenpox (caused by the varicella-zoster virus) is transmitted. The nurse explains which of the following about the virus?
CORRECT ANSWER : b. It is carried though the air in
droplets after sneezing or coughing.
Question: The nurse recognizes the appropriate procedures for
sterile asepsis. Of the following, which action is consistent with sterile asepsis?
CORRECT ANSWER : c. The first small amount of sterile
solution should be poured and discarded.
Question: 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?
CORRECT ANSWER : a. Wash her hands, apply the mask
and eyewear, put on the gown, and then apply gloves.
Question: The nurse is aware that it is important to break the
chain of infection. Which of the following is an example of a nursing intervention implemented to reduce a reservoir of infection for a client?
CORRECT ANSWER : d. Changing soiled dressings
Question: During the neurological component of the physical
examination, the nurse tests the function of the client's cranial nerves. In testing cranial nerve III, the nurse determines the client's ability to do which one of the following?
CORRECT ANSWER : d. React to light with changes in
pupil size
Question: A rapid infusion of blood has been given to the
client. The nurse assesses the client for which one of the following?
CORRECT ANSWER : c. Hypertension and tachycardia
Question: A client complains of a headache and chills during
a blood transfusion. Which one of the following actions should the nurse take immediately?
CORRECT ANSWER : b. Stop the blood transfusion.
Question: Which of the following is an unexpected value that
the nurse, in reviewing the results of the client's blood work, should report to the physician?
CORRECT ANSWER : a. Calcium, 1.9 mmol/L
Question: A client has intravenous (IV) therapy for the
administration of antibiotics and is stating that the IV site "hurts and is swollen." Which of the following information