NUR 321 ,EXAM 2 STUDY QUESTIONS
AND CORRECT ANSWERS
The nurse is caring for a patient in protective environment. Which actions will the nurse
take?
(Select all that apply.)
a. Wear an N95 respirator when entering the patient's room.
b. Maintain airflow rate greater than 12 air exchanges/hour.
c. Place in special room with negative-pressure airflow.
d. Open drapes during the daytime.
e. Listen to the patient's interests.
f. Place dried flowers in a plastic vase. ✅ANS: B, D, E
The nurse is assessing a new patient admitted to home health. Which questions will be
most
appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)
a. "Can you explain the risk for infection in your home?"
b. "Have you traveled outside of the United States?"
c. "Will you demonstrate how to wash your hands?"
d. "What are the signs and symptoms of infection?"
e. "Are you able to walk to the mailbox?" ✅ANS: A, B, C, D
The circulating nurse in the operating room is observing the surgical technologist while
applying a sterile gown and gloves to care for a patient having an appendectomy. Which
behaviors indicate to the nurse that the procedure by the surgical technologist is
correct?
(Select all that apply.)
a. Ties the back of own gown.
b. Touches only the inside of gown.
c. Slips arms into arm holes simultaneously.
d. Extended fingers fully into both of the gloves.
e. Uses hands covered by sleeves to open gloves.
f. Applies surgical cap and face mask in the operating suite. ✅ANS: B, C, D, E
The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to
apply
the sterile gloves. Which steps will the nurse take? (Select all that apply.)
a. While putting on the first glove, touch only the outside surface of the glove.
b. With gloved dominant hand, slip fingers underneath second glove cuff.
c. Remove outer glove package by tearing the package open.
d. Lay glove package on clean flat surface above waistline.
e. Glove the dominant hand of the nurse first.
,f. After second glove is on, interlock hands. ✅ANS: B, D, E, F
The nurse has received a report from the emergency department that a patient with
tuberculosis will be coming to the unit. Which items will the nurse need to care for this
patient? (Select all that apply.)
a. Private room
b. Negative-pressure airflow in room
c. Surgical mask, gown, gloves, eyewear
d. N95 respirator, gown, gloves, eyewear
e. Communication signs for droplet precautions
f. Communication signs for airborne precautions ✅ANS: A, B, D, F
The nurse and the student nurse are caring for two different patients on the medical-
surgical unit. One patient is in airborne precautions, and one is in contact precautions.
The nurse explains to the student different interventions for care. Which information will
the nurse
include in the teaching session? (Select all that apply.)
a. Dispose of supplies to prevent the spread of microorganisms.
b. Wash hands before entering and leaving both of the patients' rooms.
c. Be consistent in nursing interventions since there is only one difference in the
precautions.
d. Apply the knowledge the nurse has of the disease process to prevent the spread of
microorganisms.
e. Have patients in airborne precautions wear a mask during transportation to other
departments.
f. Check the working order of the negative-pressure room for the airborne precaution
patient on admission and at discharge. ✅ANS: A, B, D, E
The nurse manager is evaluating current infection control data for the intensive care
unit. The nurse compares past patient data with current data to look for trends. The
nurse manager examines the infection chain for possible solutions. In which order will
the nurse arrange the items for the infection chain beginning with the first step?
1. A mode of transmission
2. An infectious agent or pathogen
3. A susceptible host
4. A reservoir or source for pathogen growth
5. A portal of entry to a host
6. A portal of exit from the reservoir
a. 3, 2, 4, 1, 5, 6
b. 1, 3, 5, 4, 6, 2
c. 4, 2, 1, 6, 3, 5
d. 2, 4, 6, 1, 5, 3 ✅ANS: D
The nurse is caring for a patient who needs a protective environment. The nurse has
provided the care needed and is now leaving the room. In which order will the nurse
remove the personal protective equipment, beginning with the first step?
, 1. Remove eyewear/face shields and goggles.
2. Perform hand hygiene, leave the room, and close the door.
3. Remove gloves.
4. Untie the gown, allow the gown to fall from the shoulders, and do not touch the
outside of the gown; dispose
of properly.
5. Remove the mask by strings; do not touch the outside of the mask.
6. Dispose of all contaminated supplies and equipment in designated receptacles.
a. 3, 1, 4, 5, 6, 2
b. 1, 4, 5, 3, 6, 2
c. 1, 4, 5, 3, 2, 6
d. 3, 1, 4, 5, 2, 6 ✅ANS: D
Which process will be required after exposure of a nurse to blood by a cut from a used
scalpel
in the operative area?
a. Placing the scalpel in a needle safe container
b. Testing the patient and offering treatment to the nurse
c. Removing sterile gloves and disposing of in kick bucket
d. Providing a medical evaluation of the nurse to the manager ✅ANS: B
rational : Follow-up for risk of infection begins with patient testing. Patients should be
tested for HIV
and hepatitis B and C. Testing of the nurse is dependent on the results of patient
testing; if the
patient is positive for one of these infections, the nurse will be started on testing and
treatment.
The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes
blood above the glove to intact skin while discontinuing an intravenous (IV) infusion.
Which step(s) will the nurse take next?
a. Obtain an alcohol swab, remove the blood with an alcohol swab, and continue
care.
b. Immediately wash the site with soap and running water and seek guidance from the
manager.
c. Do nothing; accidentally getting splashed with blood happens frequently and is
part of the job.
d. Delay washing of the site until the nurse is finished providing care to the patient.
✅ANS: B
Rational: After getting splashed with blood from a patient who has a known bloodborne
pathogen, it is
important to cleanse the site immediately and thoroughly with soap and running water
and
notify the manager for guidance on next steps in the process.
